Organization Active NPI

Collier Dental Studio

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1003101437
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14254 Issued in FL
Legal business name
COLLIER DENTAL STUDIO
Practice address
3400 Tamiami TRL N
Suite 301
Naples, FL 34103-3717
Phone
(239) 234-6368
Fax
(239) 384-9291
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dawn M Arena, DDSNPI 1649391814
Title
President
Phone
(239) 234-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN14254 FL Primary

Addresses

Primary practice location

3400 Tamiami TRL N
Suite 301
Naples, FL 34103-3717

Mailing address

3400 Tamiami TRL N
Suite 301
Naples, FL 34103-3717
Phone (239) 234-6368

National Provider Directory

National Provider Directory

Locations

3400 Tamiami Trl N
Ste 301
Naples, FL 34103
Phone (239) 234-6368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1003101437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL N",
            "address_2": "SUITE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033717",
            "telephone_number": "239-234-6368",
            "fax_number": "239-384-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL N",
            "address_2": "SUITE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033717",
            "telephone_number": "239-234-6368",
            "fax_number": "239-384-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-234-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.